Patricia Blackwell, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

777 Issued in LA

Practice address

21 Tennyson PL
New Orleans, LA 70131-5444

Phone

(504) 433-2428

NPI assigned

Nov 1, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 1, 2018 through Apr 1, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pelts, Kirkhart, Major and Associates, LLC

  • Clinical Psychologist
  • New Orleans, LA
  • NPI 1013047976
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193875200000",
    "number": "1669651071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 TENNYSON PL",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701315444",
            "telephone_number": "504-433-2428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 TENNYSON PL",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701315444",
            "telephone_number": "504-433-2428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKWELL",
        "first_name": "PATRICIA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-01",
        "last_updated": "2007-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "LA",
            "license": "777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chiquita Blackmore
• Chadsidy Blackstone
• Madison Babers Blackstone
• Jimani Hakika Blackwell, DDS
• Margo G Blackwell, CRNA
• Nigel Blackwood
• Blair Transporation
• Nicole Marie Blair, M.A. COUNSELING
• Rebecca Lynn Blair, MD
• Christopher Mark Blais, MD

• Psychologist in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Psychologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.